A teacher comes to the mental health clinic saying a co-worker recently confronted her about
behaviors that are annoying to other co-workers. Because of the confrontation, the client has
experienced moderate to severe levels of anxiety.
The co-worker told the client that others find her
very difficult because she is a perfectionist and micromanages the tasks of others on the teaching
team, always demanding that things should be done according to her plans. The co-worker
mentioned that the client made everyone feel as though everything they tried was inadequate, and
that her co-workers feel frustrated and angry about her need to control. The client states she likes her
co-workers and only wanted to help them be successful. The nurse realizes the client's behaviors are
most consistent with
a. obsessive-compulsive personality disorder.
b. narcissistic personality disorder.
c. histrionic personality disorder.
d. schizoid personality disorder.
Question 2
A client being treated in an alcohol rehabilitation unit reveals to the nurse that he feels terrible
guilt for sexually abusing his 6-year-old stepdaughter before his admission.
On the basis of state
and federal laws, the best action for the nurse to take is to
a. anonymously report the abuse through a phone call to the local child abuse
hotline.
b. respect nurse-client relationship confidentiality.
c. file a written report on agency letterhead.
d. report the finding to the district attorney.
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Mental Status Examination